<!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="UTF-8">
	<title>Document</title>
</head>
<body>
	<div class="address-modal">
		<div class="modal-body">
			<div class="modal-head"><div class="close">&times;</div></div>
			<div class="modal-content">
				<div class="address-container">
					<div class="addr-title">新建地址</div>
					<form action="/yanxuan2.0/newAddressServlet" method="get" class="addrForm" name="addrForm">
						<div class="addr-row first-row">
							<span class="label yx-ibt">所在地区</span>
							<div class="yx-ibt">
								<div class="error-wrap">
									 <select name="province" id="" class="select">
										<option selected value="">请选择省</option>
									</select> 
								</div>
								<div class="error-wrap">
									 <select name="city" id="" class="select">
										<option selected value="">请选择市</option>
									</select>
								</div>
								<div class="error-wrap">
									<select name="area" id="" class="select">
										<option selected value="">请选择区</option>
									</select>
								</div>
							</div>
						</div>
						<div class="addr-row">
							<span class="label yx-ibt">详细地址</span>
							<div class="error-wrap">
								<textarea placeholder="详细地址，街道、门牌号等" name="address" cols="30" rows="10" tabindex="6" class="textarea"></textarea>
							</div>
						</div>
						<div class="addr-row">
							<div class="col-2">
								<span class="label yx-ibt">收 货 人</span>
								<div class="error-wrap">
									<input type="text" class="ipt" name="receiver">
								</div>
							</div>
							<div class="col-2" style="margin-left: 15px">
								<span class="label yx-ibt">手 机 号</span>
								<div class="error-wrap">
									<input type="text" class="ipt" name="mobile">
								</div>
							</div>
						</div>
						<div class="addr-ft">
							<div class="col-1 yx-ibt">
								<div class="check-box">
									<input type="checkbox" name="defaultAddress" class="checkbox" checked>
									<span>设为默认</span>
								</div>
							</div>
							<div class="col-3 yx-ibt">
								<input type="button" value="确 认" class="btn btn-primary btn-comfirm">
								<input type="reset" value="取 消" class="btn btn-ghost btn-cancel">
							</div>
						</div>
					</form>
				</div>
			</div>
		</div>
	</div>
</body>
</html>